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Microbial biofilms in the human gastrointestinal tract
Abstract
The human gastrointestinal tract contains rich and diverse microbiotas along its length. However, while extensive studies have been made on lumenal bacterial communities in the gut, less work has been carried out on organisms growing in biofilms, where individual groups of bacteria exist in a multiplicity of different microhabitats and metabolic niches associated with the mucosa, the mucus layer and particulate surfaces in the gut lumen. Bacteria and yeasts also occur in biofilms attached to artificial surfaces and devices implanted in the host, such as in patients being fed via enteral tubes. Although we are just beginning to investigate the composition and metabolic activities of these structures, increasing evidence suggests that they are important to the host in both health and disease. There is mounting interest in mucosal biofilms in the colon, especially with respect to their role in inflammatory bowel disease. Because bacteria growing in biofilms are more resistant to antibiotics than unattached organisms, it is often difficult to modify the structure and composition of these communities, or to eradicate them from the body. However, recent work has shown that there is considerable potential to alter the species composition of mucosal biofilms in a beneficial way using synbiotics.
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“The size and quality of the intestinal mucus layer is believed to be mediated by sympathetic innervation where mucosal immune system modulation (Elenkov et al., 2000) and microbial composition and behavior alterations (commensal and pathogenic) were seen (Macfarlane and Dillon, 2007;Rhee et al., 2009)”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Macfarlane and Dillon, 2007
In the citing paper
“The ANS-mediated modulation of mucus secretion is likely to have important effects on the size and quality of the intestinal mucus layer, an important habitat for the biofilm, where the majority of the enteric microbiota reside.19”
From Principles and clinical implications of the brain-gut-enteric microbiota axis (2009) · cites this paper as [19]
In the citing paper
“In general, bacteria located in the biofilm seem to be less affected by environmental alterations, such as changes in intestinal transit rate and luminal contents, than luminal populations are, but seem to have increased involvement in bidirectional signaling with the host.19”
From Principles and clinical implications of the brain-gut-enteric microbiota axis (2009) · cites this paper as [19]
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Lebeer, S., Verhoeven, T. L. A., Claes, I. J. J., Hertogh, G., Vermeire, S., Buyse, J., Immerseel, F. V., Vanderleyden, J., & Keersmaecker, S. C. J. D. (2011) · Letters in Applied Microbiology · doi:10.1111/j.1472-765x.2011.02994.x · Cited by 4
Neural control of redox response and microbiota-triggered inflammation in Drosophila gut
Fuse, N., Hashiba, H., Ishibashi, K., Suzuki, T., Nguyen, Q., Fujii, K., Ikeda‐Ohtsubo, W., Kitazawa, H., Tanimoto, H., & Kurata, S. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1268611 · Cited by 4
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“These cells are affected by the gut microbiota through the regulation of mucus and biofilm production, gastrointestinal (GI) motility, GI permeability, and immune response [5].”
BackgroundGlinka, P., Nowacka, K., Kulesza, K., Ejdys, E., & Dynowska, M. (2018) · PubMed · doi:10.17420/ap6403.152 · Cited by 4
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Influence of the Microbiota Through the Gut-Brain Axis in Neurological Diseases
Guarnotta, V., Mandarino, F. V., Fasulo, E., Maida, M. F., Laterza, L., Sferrazza, S., Raimondo, D., & Sinagra, E. (2024) · Integrated science · doi:10.1007/978-3-031-73061-0_20 · Cited by 3
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“Furthermore, Macfarlane et al. [81] proposed that ANS dysfunction in ALS may directly affect microbial populations by altering gut physiology.”
Yan, Z., Zhang, X., Shum, T., Xie, J., Chiou, J. A., Yu, J. Q., & Li, X. D. (2025) · Gut Microbes · doi:10.1080/19490976.2025.2599517 · Cited by 5
“63 The enrichment of biofilm formation and quorum-sensing pathways further suggests a greater potential for biofilm development in mucosal communities, 64 enhancing microbial communication and cooperation.”
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Adaptation of Enterococcus faecalis to intestinal mucus revealed by a human colonic organoid model
Mikhaleva, S., Hsiao, P.-L., Kurmashev, A., Anderson, C. M., Colomer‐Winter, C., Boos, J. A., Choo, P. Y., Willett, J. L. E., Hierlemann, A. R., Kline, K. A., et al. (2026) · mSystems · doi:10.1128/msystems.01304-25 · Cited by 3
“Our findings show that Ef strongly prefers the mucosal niche, rapidly attaches, and forms robust, biofilm-like colonies, as previously reported in both germ-free mouse models and patient-derived intestinal samples (12, 35).”
Bai, Y., Yu, M., Weng, C., Xu, J., Zheng, M., & Lv, B. (2026) · Frontiers in Neuroscience · doi:10.3389/fnins.2026.1832540 · Cited by 4
Cooperation and bacterial pathogenicity: an approach to social evolution
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“An interesting case study is that of the human microbiome, particularly that of the intestine, where the cells can form dense biofilms containing various species (Macfarlane and Dillon 2007).”
BackgroundFunctional Microbial Landscapes
Ciccarese, D., & Johnson, D. R. (2019) · Elsevier eBooks · doi:10.1016/b978-0-444-64046-8.00472-9 · Cited by 3
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“Additionally other factors including fimbriae, pili, curli may also contribute to decreased biofilm formation in non flagellar strains (Reisner et al., 2006; Lemon et al., 2007; MacFarlane and Dillon, 2007; Kim et al., 2008; Liaqat and Sakellaris, 2012).”
BackgroundGhafoor, A. (2014) · Journal of Infection and Molecular Biology · doi:10.14737/jimb.2307-5465/2.4.61.73 · Cited by 3
“These biofilms develop a relationship with the host which may be beneficial or harmful for the host [reviewed in (Macfarlane and Dillon, 2007)] .”
Kumar, P., Mishra, S., & Singh, S. (2017) · Journal des Anti-infectieux · doi:10.1016/j.antinf.2017.01.002 · Cited by 3
Human Intestinal Microbial Biofilm and its Correlation with Intestinal Mucin Secretion
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Lactobacilli in the normal microbiota and probiotic effects of Lactobacillus plantarum
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Pittadhara Kala Sahayo Majjadhara Kala and brain gut microbiota axis: A comparative review study
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“Due to emerging prebiotics, this concept has been challenged, and there is growing acceptance that minor variations in dietary strategies can alter microbiota composition and physiological functions related to them (Macfarlane & Dillon, 2007).”
BackgroundMora-Ortiz, M., García-Fernández, H., Pérez‐Martínez, P., & Camargo, A. (2024) · Open Research Europe · doi:10.12688/openreseurope.18568.1 · Cited by 2
Non-invasive optical quantification of otitis media and middle ear effusions
Monroy, G. L. (2014) · Illinois Digital Environment for Access to Learning and Scholarship (University of Illinois at Urbana-Champaign) · Cited by 2
Methods in Computational Biology
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Effect of iron and sodium chloride on biofilm development of stenotrophomonas maltophilia
Martinez, R. F. (2011) · Digital Commons-DePaul (DePaul University) · Cited by 2
Contribution of biofilm genes to adherence of Escherichia coli O157:H7 to epithelial cells
Stephenson, M. (2012) · doi:10.31274/etd-180810-533 · Cited by 2
“In addition, biofilms are potential causes in the pathogenesis of otitis media (179), tonsillitis (36) and lung infections in cystic fibrosis patients (81).”
Background
Metadata
- Authors
- Macfarlane, S., & Dillon, J. F.
- Affiliations
- University of Dundee (GB)
- Corresponding author
- Macfarlane, S.
- Venue
- Journal of Applied Microbiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-05
- Volume
- 102
- Issue
- 5
- Pages
- 1187-1196
- ISSN
- 1364-5072 (ISSN-L)
- 1365-2672
- OpenAlex
- W2041418306
- Cited by
- 379
- References
- 55
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 20 · 2023: 26 · 2022: 24 · 2021: 25 · 2020: 28 · 2019: 31 · 2018: 22 · 2017: 26 · 2016: 14 · 2015: 17 · 2014: 32 · 2013: 16 · 2012: 20
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Microbiology (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- biofilm, gastrointestinal tract, gut microbiota, mucus layer, inflammatory bowel disease, antibiotic resistance, synbiotics
- MeSH terms
- Bacteria, Humans, Intestinal Mucosa, Biofilms, Probiotics, Gastrointestinal Tract
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